Individual
SOKPOLEAK SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
67 SAND PIT RD, DANBURY, CT 06810
(203) 743-7264
(203) 792-3920
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
55481
CT
208VP0014X
Interventional Pain Medicine Physician
Primary
55481
CT
Other
Enumeration date
06/21/2011
Last updated
06/26/2018
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